Medical Billing Data Entry
Resume:
Tekela Johnson
Lauderhill, FL *****
***************@*****.***
Authorized to work in the US for any employer
Work Experience
Medical Billing & Coding
MTI
September 2018 to Present
Applied all payments received by insurance, patients, and credit agencies to accounts. Entered all charges and sent out statements, light office work, and appointment scheduling, and filling. Medicaid, Medicare and commercial billing,
ICD, CPT, working with suspended, denied and rejected claims, payments, collections, accounts balancing, eligibility verification, HIPAA requirements. Knowledge of account receivables, drafting appeal letters and calculating deductibles. Knowledge of health insurance companies and reimbursement of billing
· Concentration on very detailed work, find and match medical services and their codes, follow policies, procedures and guidelines to assure consistent quality billing and coding. Provide timely and accurate data to ensure reimbursement for patient services.
· Keep updated all coding and general changes.
· Maintain highest confidentiality of medical record information.
· Working with medical software alongside internet billing software for commercial insurances (Blue Cross/Blue Shield, Cigna, United Health Care, GHI, Aetna, Health Plus, Health First, HIP, etc.).
Billing & Coding Specialist/Customer Support
SHERIDAN HEALTHCARE
May 2016 to December 2018
Handled calls in queue and emails for one time resolution. Examined the severity of an issue to properly dispatch phone inquiries. Corrected any claim processing
(data entry, verification, coding and/or posting) errors identified by the users. Identified contractual agreements for carriers aligned for proper payment of claims. Computed contractual rates into user’s record to accurately calculate total of reimbursement once claim is processed. Contacted insurance companies for retrieval of new information so a proper follow up could be scheduled for patients claim.
· Collect and take appropriate steps to process claims for payment (i.e. re-submit claims or file appeal claims for payment or additional payment.)
· Research denied and improperly processed claims by contacting assigned carriers, facilities and doctor’s offices to ensure proper processing of said claims.
· Request medical records, correspondence, and/or explanation of benefits to research proper processing and/or payment of accounts.
· Navigate and utilize multiple billing systems and various websites/applications daily to process work.
· Create and execute payment plans with patients based on established plans. Track all patient discounts and write-offs.
· Handle and track avoidable customer inquiries and all patient grievances daily. Customer Billing Representative
EMBLEM HEALTH
March 2014 to May 2016
Customer\Billing Representative responsible for inbound and outbound calls, dispatching basic inquires of Physicians and insurance companies requesting information. Assisted with verification of Commercial, Private, Medicare, and
Medicaid Insurance. Validated patient eligibility, plan type, along with verifying In-Network and Out of Work benefits. Insured all patient accounts were verified and reviewed correctly. Organized supporting documents concerning patient follow up. Reviewed all claims for payments and eligibility to process and re-bill unpaid claims.
· Assists in authorizations for vision and other billing issues
· Performing the assigned administrative tasks
· Interacts with all levels of medical professionals
· Explained current policies and procedures to the patients Education
ASSOCIATES in ULTRASOUND TECHNOLOGY
BROWARD COLLEGE - Margate, FL
2015 to Present
Skills
• Organizational skills
• Medical coding
• Research
• Customer support
• Data entry
• CPT coding
• Medical records
• Dispatching
• HIPAA
• Medical billing
• Medical scheduling
• Maintaining patient confidentiality and information security. Self-motivated, goal-oriented, hardworking professional Exceptional communication, interpersonal skills, and management oriented High Problem-solving comprehension with a reputation of resolving highly complex problems. Strong logical reasoning power Innovative with a methodological approach to all challenges Good in handling stressful workloads. Great team player.
• Sonography
• Outbound calling
• Customer service
• Cold calling
• ICD coding
• Accounts receivable
• Translate diagnosis and medical information into codes using CPT, ICD-10-CM and HCPS Level II classification systems
• Medicare
• EMR Systems
• Insurance Verification
• ICD-9
• Experience Administering Injections
• Medical Office Experience
• Auditing
• Patient Care
• Medical Terminology
• Quality Assurance
• Phone Etiquette
• Anatomy Knowledge
• Vital Signs
• Accounting
• Laboratory Experience
• Transcription
• Microsoft Powerpoint
• QuickBooks
Certifications and Licenses
Driver's License
March 2018 to December 2025
Assessments
Data entry: Attention to detail — Completed
November 2023
Maintaining data integrity by detecting errors
Full results: Completed
Learning agility — Proficient
November 2023
Learning and applying new information
Full results: Proficient
Basic computer skills — Proficient
November 2023
Performing basic computer operations and troubleshooting common problems Full results: Proficient
Medical receptionist skills — Proficient
November 2023
Managing physician schedules and maintaining accurate patient records Full results: Proficient
Work style: Reliability — Proficient
October 2023
Tendency to be reliable, dependable, and act with integrity at work Full results: Proficient
Attention to detail — Completed
November 2023
Identifying differences in materials, following instructions, and detecting details among distracting information
Full results: Completed
Medical billing — Completed
October 2023
Understanding the procedures and forms used for medical billing Full results: Completed
Spreadsheets with Microsoft Excel — Proficient
December 2023
Knowledge of various Microsoft Excel features, functions, and formulas Full results: Proficient
Protecting patient privacy — Proficient
October 2023
Understanding privacy rules and regulations associated with patient records Full results: Proficient
Indeed Assessments provides skills tests that are not indicative of a license or certification, or continued development in any professional field.
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